Florida Medicaid: Dental payment moves to Medicaid health plans
AI Summary
Starting October 1, 2025, Florida Medicaid will transfer payment responsibility for non-emergency dental outpatient anesthesiology and sedation services performed in hospitals and ambulatory surgical centers from dental plans to health plans. Dental plans will still cover these services when provided in office settings.
Action Required
Before October 1, 2025: Billing team must update billing workflows to submit non-emergency dental anesthesiology and sedation claims for hospital/ASC settings to Medicaid health plans instead of dental plans. Update billing system payer routing rules and staff training materials. Verify continuity of care provisions for scheduled procedures during 60-day transition period.
Plan Types
Medicaid
States
FL
Specialties
anesthesiology, dentistry, oral-maxillofacial-surgery